Active NPI
Mickelle Riley, ARNP
- Family Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9206393
- Practice address
- 400 N Tampa St FL 15
Tampa, FL 33602-4730 - Phone
- (888) 803-3370
- NPI assigned
- Jan 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 9206393 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 301829 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 9206393 | FL | Primary |
Addresses
Primary practice location
400 N Tampa St FL 15
Tampa, FL 33602-4730
Mailing address
400 N Tampa St FL 15
Tampa, FL 33602-4730
Phone (888) 803-3370
Other practice location 1
9700 N 91st St Ste A115
Scottsdale, AZ 85258-5036
Phone (888) 803-3370
Other practice location 2
2820 NE 214th St Ste 801
Aventura, FL 33180-1269
Phone (888) 803-3370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080328000737 | FL | Practitioner - Nurse Practitioner | 1951487008 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
333 1St St
Suite a
San Francisco, CA 94105-3060
440 Franklin St
Bloomfield, NJ 07003-4378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9206393 | FL | MD | Family Nurse Practitioner |
| 301829 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Circle Medical Care Group PA | Current | Accepting new patients | |
| Blue Ocean Dermatology LLC | Current | Accepting new patients | |
| Mid-Florida Dermatology Associates P.a. | Current | Accepting new patients | |
| Mid-Florida Dermatology Associates | Current | Accepting new patients | |
| Mid Florida Autism Center | Past | Accepting new patients | |
| Dermatology on the Spot, LLC | Past | Accepting new patients | |
| Mid-Florida Dermatology Associates | Past | Accepting new patients |
Locations
9700 N 91st St
Ste A115
Scottsdale, AZ 85258
Phone (480) 922-1376
333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441
2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877
100 W Gore St
Ste 602
Orlando, FL 32806
Phone (407) 839-3999
7652 Ashley Park Ct
Ste 305
Orlando, FL 32835
Phone (407) 839-0127
3951 S Nova Rd
Ste 3
Port Orange, FL 32127
400 N Tampa St
Fl 15
Tampa, FL 33602
Phone (844) 435-6833
1840 Greenwich Ave
Winter Park, FL 32789
Phone (407) 644-4212
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Orlando, FL
- NPI 1043341548
-
- Dermatology Physician
- Port Orange, FL
- NPI 1487058533
-
- Behavior Analyst
- Oviedo, FL
- NPI 1982357992
-
- Dermatology Physician
- Sanford, FL
- NPI 1326616285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1124203294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N TAMPA ST FL 15",
"city": "TAMPA",
"state": "FL",
"postal_code": "336024730",
"telephone_number": "888-803-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N TAMPA ST FL 15",
"city": "TAMPA",
"state": "FL",
"postal_code": "336024730",
"telephone_number": "888-803-3370"
}
],
"practiceLocations": [
{
"address_1": "9700 N 91st St Ste A115",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852585036",
"country_code": "US",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2820 NE 214th St Ste 801",
"address_purpose": "LOCATION",
"city": "Aventura",
"state": "FL",
"postal_code": "331801269",
"country_code": "US",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RILEY",
"first_name": "MICKELLE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-08",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "9206393",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "301829",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9206393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.